Legal and Regulatory Compliance

Hoping to avoid being overwhelmed, safety-net hospitals urge COVID-19 prevention

Safety-net hospitals are urging the public to take COVID-19-prevention steps to keep from overwhelming the facilities.

By Rich Daly October 28, 2020

Donations by hospitals and their employees heavily favor Biden, Democrats

Hospitals have leaned toward Biden and Democrats in their 2020 campaign giving, according to election records.

By Rich Daly October 28, 2020

The payer episode: CMS interoperability rules and provider strategies for better conversations

Chris Hobson, from Orion Health discusses CMS’s upcoming deadline for interoperability requirements for payers and Geneva Schlabach from Vispa and Mike Duke from Baker Tilly talk about denials management.

By Erika Grotto October 26, 2020

Providers should prepare for a possible expansion of Medicare site-neutral policies

HFMA’s Chad Mulvany says if the CY2021 OPPS rule is finalized as proposed without significant modifications to CMS's MS-DRG weight-setting process, it heightens the need for hospitals to expand outpatient/ASC capacity and continue aggressive cost management.

By Chad Mulvany, FHFMA October 22, 2020

CMS to add COVID-19-related waivers to value-based payment models, Verma says

Medicare plans to add pandemic-era waivers to its value-based payment models as a way to incentivize provider participation.

By Rich Daly October 14, 2020

340B cuts, inpatient-only elimination lead hospitals’ OPPS concerns

Proposed OPPS cuts for 340B hospitals and outpatient payment changes drew the most concerns from hospitals and advocates.

By Rich Daly October 13, 2020

Self-pay A/R best practices, Stark Law with Rep. Roger Marshall and CMS’s price transparency rule

Chad Mulvany talks with members of the task force that developed recommendations around self-pay accounts receivable best practices, Rich Daly interviews Rep. Roger Marshall about his efforts to get CMS to speed up their overhaul of Stark and Antitrust laws. Gregory Adams from sponsor organization Panacea discusses some aspects of CMS's price transparency rule that hospitals might be missing.

By Erika Grotto October 12, 2020

CMS Administrator Seema Verma receives HFMA’s Board of Directors Award, talks with CEO Joe Fifer

At HFMA's Digital Annual Conference, President and CEO Joe Fifer presented CMS Administrator Seema Verma with the Association's highest honor: the Richard L. Clarke Board of Directors Award in recognition of her outstanding contributions to healthcare in a role that involves oversight of a $1 trillion budget, representing 26% of the total federal budget, and administration of health coverage programs for more than 130 million Americans. Following the presentation, Fifer and Verma had a Q&A session in which she addressed price transparency, the pandemic, and the future of value-based care.

By Erika Grotto October 12, 2020

Proposed change to Medicare E/M payment leads to disagreement among both providers and health plans

Medicare physician payment changes for evaluation and management could have dire financial repercussions for some practices, providers warn.

By Rich Daly October 12, 2020

Hospitals to lose Medicare, Medicaid access in 14 weeks if they don’t meet daily reporting requirements

Hospitals will have 14 weeks to meet daily data-reporting requirements related to COVID-19 and the flu or face termination from Medicare and Medicaid.

By Rich Daly October 7, 2020
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